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NPI 1417409236

NPI 1417409236 : ALEXIS LYNN HUTH AMFT : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1417409236
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    Entity Type          |    Individual 
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    Provider Name        |    ALEXIS LYNN HUTH AMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/27/2016
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    Last Update Date     |    01/17/2025
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Provider Practice Location Address
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    Address Line         |    9308 MEADOWHEATH DR 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78729-2826
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    Country              |    US
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    Telephone            |    408-710-3035
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9308 MEADOWHEATH DR 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78729-2826
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    Country              |    US
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    Telephone            |    408-710-3035
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    129162
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    113999
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    License Number State |    CA
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